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A 12-year-old child experiences high fever and chills. He also says that his heart feels like...

A 12-year-old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered and what is the treatment? What congenital heart disease is associated with heart murmurs?

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Answer #1

The child seems to have an infective endocarditis probably because of the skinned knee which could have acted as a route for transmission into the body and reaching the heart and causing infection leading to increased in body temperature with chills(typical signs), pounding or rapid heart rate. This also exhibits an abnormal heart murmur .It can found in children if they have some skin injury.

Treatment:

  • Antipyretics to reduce temperature
  • Antibiotics to treat infection
  • Skin hygiene to prevent entry of bacteria via open end
  • Daily dressing as per need to prevent multiplication and growth of microorganisms
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